CIGNA COMPLIANCE PROGRAM ACTUAL
SCRIPT 2026 BUNDLED QUESTIONS AND
SOLUTIONS GRADED A+
⩥ Dependent (DEP). Answer: A covered individual on a plan but
typically either the spouse or child of the subscriber.
⩥ GMS (Group Management Services). Answer: Company name
⩥ Group Number. Answer: Identification number assigned to the MHP
in which the provider will put on a claim for billing purposes.
⩥ HIPAA (Health Insurance Portability and Accountability Act).
Answer: Federal law protecting PHI.
⩥ Member. Answer: The term given to a person who is insured through
the benefit plan.
⩥ Member ID Number (ID#). Answer: Identification number assigned to
each family on GMS medical insurance in which the provider will put
on a claim for billing purposes.
, ⩥ MBS (Member Benefit Specialist). Answer: Role at GMS to answer
calls regarding medical benefits.
⩥ MHP (Master Health Plan). Answer: All GMS plans are a part of the
Master Health Plan.
⩥ Network. Answer: A group of healthcare providers that have agreed
with the insurance to offer services at discounted rates.
⩥ NPI (National Provider Identifier). Answer: Unique identifier for
healthcare providers
⩥ PEO (Professional Employer Organization). Answer: GMS is this type
of company because we partner with small - medium sized businesses to
handle HR tasks such as payroll and benefits.
⩥ PHI (Protected Health Information). Answer: Identifiable health data
which must be protected under HIPAA.
⩥ PPO (Preferred Provider Organization). Answer: The specific contract
GMS utilizes under the Cigna PPO network for the best rate of in-
network pricing.
⩥ Preventative / Wellness. Answer: Services aimed at preventing health
issues
SCRIPT 2026 BUNDLED QUESTIONS AND
SOLUTIONS GRADED A+
⩥ Dependent (DEP). Answer: A covered individual on a plan but
typically either the spouse or child of the subscriber.
⩥ GMS (Group Management Services). Answer: Company name
⩥ Group Number. Answer: Identification number assigned to the MHP
in which the provider will put on a claim for billing purposes.
⩥ HIPAA (Health Insurance Portability and Accountability Act).
Answer: Federal law protecting PHI.
⩥ Member. Answer: The term given to a person who is insured through
the benefit plan.
⩥ Member ID Number (ID#). Answer: Identification number assigned to
each family on GMS medical insurance in which the provider will put
on a claim for billing purposes.
, ⩥ MBS (Member Benefit Specialist). Answer: Role at GMS to answer
calls regarding medical benefits.
⩥ MHP (Master Health Plan). Answer: All GMS plans are a part of the
Master Health Plan.
⩥ Network. Answer: A group of healthcare providers that have agreed
with the insurance to offer services at discounted rates.
⩥ NPI (National Provider Identifier). Answer: Unique identifier for
healthcare providers
⩥ PEO (Professional Employer Organization). Answer: GMS is this type
of company because we partner with small - medium sized businesses to
handle HR tasks such as payroll and benefits.
⩥ PHI (Protected Health Information). Answer: Identifiable health data
which must be protected under HIPAA.
⩥ PPO (Preferred Provider Organization). Answer: The specific contract
GMS utilizes under the Cigna PPO network for the best rate of in-
network pricing.
⩥ Preventative / Wellness. Answer: Services aimed at preventing health
issues
